Incidence and duration of total occlusion of the radial artery in newborn infants after catheter removal.
The incidence and duration of total occlusion of the radial artery after catheter removal was determined using repeated Doppler flow measurements. Thirty-two newborn infants with birthweights ranging from 945 g to 3890 g (median 1935 g) and gestational age ranging from 26 to 40 weeks (median 32 weeks) were studied. In 20 out of 32 infants (63%), complete occlusion of the radial artery occurred. The number of occlusions were not related to birthweight, gestational age or duration of cannulation. In all infants, blood flow in the radial artery resumed within 1-29 days after catheter removal. The duration of occlusion was directly related to the duration of cannulation and inversely related to birthweight. This study demonstrates a high frequency of total occlusion of the radial artery in newborn infants after percutaneous radial artery cannulation. In the majority of infants with a radial artery catheter, blood flow to the tissue distal to the cannulation site is dependent solely on the existence of an adequate arterial palmar collateral circulation.
Hack
W W
WW
Department of Paediatrics, University Hospital, Free University, Amsterdam, The Netherlands.
Vos
A
A
van der Lei
J
J
Okken
A
A
D001132:Arm / Q000098:blood supply*; D001157:Arterial Occlusive Diseases / Q000453:epidemiology* / Q000503:physiopathology; D001158:Arteries / Q000293:injuries; D001795:Blood Pressure Determination / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation; D003097:Collateral Circulation; D006225:Hand / Q000098:blood supply; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D011673:Pulsatile Flow; D013997:Time Factors